Able Pathways Llc | |
1839h E Independence St # 14765 Springfield MO 65814-3734 | |
(417) 209-8575 | |
Not Available |
Full Name | Able Pathways Llc |
---|---|
Speciality | Behavior Analyst |
Location | 1839h E Independence St # 14765, Springfield, Missouri |
Authorized Official Name and Position | Alexandra Kozuma Beckman (DIRECTOR) |
Authorized Official Contact | 4172098575 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Able Pathways Llc 1839-h E. Independence St. Po Box 14765 Springfield MO 65814 Ph: (417) 209-8575 | Able Pathways Llc 1839h E Independence St # 14765 Springfield MO 65814-3734 Ph: (417) 209-8575 |
NPI Number | 1538909775 |
---|---|
Provider Enumeration Date | 05/27/2024 |
Last Update Date | 05/27/2024 |
Certification Date | 05/27/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1538909775 | NPI | - | NPPES |
2020026695 | Other | MO | MO LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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